Individual
LUCILLE CATHERINE OPAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 CARROLL ST APT 37, BROOKLYN, NY 11213-4540
(561) 676-7855
Mailing address
1497 CARROLL ST APT 37, BROOKLYN, NY 11213-4540
(561) 676-7855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WU42647F
—
NY
Enumeration date
10/11/2022
Last updated
10/11/2022
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